Application for a Social Security Card

OMB 0960-0066

OMB 0960-0066

SSA collects information on the SS-5 (used in the United States) and SS-5-FS (used outside the United States) to issue original or replacement Social Security cards. SSA also enters the application data into the Social Security Number Application Process (SSNAP) when card via telephone or in person. In addition, hospitals collect the same information on SSA's behalf for newborn children through the Enumeration-at-Birth process. In this process, parents of newborns provide hospital birth registration clerks with information required to register these newborns. Hospitals send this information to State Bureaus of Vital Statistics (BVS), and they send the information to SSA's National Computer Center. SSA then uploads the data to the SSA mainframe along with all other enumeration data, and we assign the newborn a Social Security number (SSN) and issue a Social Security card. Respondents can also use these modalities to request a change in their SSN records. Additionally, the iSSNRC application will collect information similar to the paper SS-5 for no-change replacement SSN cards for adult U.S. citizens. A new iSSNRC modality included in the current clearance will allow certain applicants for an SSN replacement card to apply by completing an internet application and submitting the required evidence online rather than completing a paper Form SS-5, Application for a Social Security Card. The respondents for this collection are applicants for original and replacement Social Security cards, or individuals who wish to change information in their SSN records, who use any of the modalities described above. We are submitting a COVID-related Change Request to include new pre-screening questions for Express Service Appointments in our field offices. We will only use these pre-screening questions and allow for Express Service Appointments in field offices for prioritized requests for SSNs only on an as needed basis.

The latest form for Application for a Social Security Card expires 2023-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material
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Name
Form and Instruction
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Supporting Statement A
All Historical Document Collections
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Revision of a currently approved collection 2023-11-21
Withdrawn and continue
No material or nonsubstantive change to a currently approved collection 2023-06-09
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No material or nonsubstantive change to a currently approved collection 2022-10-14
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No material or nonsubstantive change to a currently approved collection 2022-07-15
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No material or nonsubstantive change to a currently approved collection 2022-03-31
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No material or nonsubstantive change to a currently approved collection 2022-03-25
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Revision of a currently approved collection 2022-02-07
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No material or nonsubstantive change to a currently approved collection 2021-03-10
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No material or nonsubstantive change to a currently approved collection 2020-12-22
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No material or nonsubstantive change to a currently approved collection 2020-09-11
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Revision of a currently approved collection 2020-04-08
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Revision of a currently approved collection 2018-07-31
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No material or nonsubstantive change to a currently approved collection 2017-11-03
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Revision of a currently approved collection 2015-06-29
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Revision of a currently approved collection 2014-11-05
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No material or nonsubstantive change to a currently approved collection 2014-07-14
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No material or nonsubstantive change to a currently approved collection 2012-05-14
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Revision of a currently approved collection 2012-01-26
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No material or nonsubstantive change to a currently approved collection 2011-09-08
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No material or nonsubstantive change to a currently approved collection 2011-07-08
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No material or nonsubstantive change to a currently approved collection 2011-04-22
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Revision of a currently approved collection 2009-03-12
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Revision of a currently approved collection 2006-03-20
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Revision of a currently approved collection 2005-10-31
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Revision of a currently approved collection 2003-09-24
Comment filed on proposed rule and continue
Revision of a currently approved collection 2003-03-28
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Extension without change of a currently approved collection 2000-02-12
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Revision of a currently approved collection 1997-12-22
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Extension without change of a currently approved collection 1993-02-24
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Revision of a currently approved collection 1990-01-29
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No material or nonsubstantive change to a currently approved collection 1989-09-08
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Revision of a currently approved collection 1987-02-18
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No material or nonsubstantive change to a currently approved collection 1986-08-26
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No material or nonsubstantive change to a currently approved collection 1985-08-15
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Revision of a currently approved collection 1984-03-14
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Revision of a currently approved collection 1980-05-29
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No material or nonsubstantive change to a currently approved collection 1980-03-25
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No material or nonsubstantive change to a currently approved collection 1979-11-28
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No material or nonsubstantive change to a currently approved collection 1979-09-28
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No material or nonsubstantive change to a currently approved collection 1979-01-16
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Extension without change of a currently approved collection 1979-01-16
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Extension without change of a currently approved collection 1978-12-07
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No material or nonsubstantive change to a currently approved collection 1976-12-20
OMB Details

Application for a Social Security Card - no need to provide parent's SSN (Paper or Intranet Modalities)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SS-5-FSApplication for a Social Security Card (Foreign Service)Fillable PrintableForm and instruction
Form SS-5Application for a Social Security CardPaper OnlyForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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